The impact of nail disorders on quality of life

Autor: George Kontochristopoulos, Alexandros Katoulis, Andreas Katsambas, I. Koti, Dimitris Rigopoulos, E. Koumantaki, Stamatis Gregoriou, Michael Makris, John Chalikias, Elena Belyayeva
Rok vydání: 2013
Předmět:
Zdroj: European Journal of Dermatology. 23:366-371
ISSN: 1952-4013
1167-1122
DOI: 10.1684/ejd.2013.2048
Popis: Background: Nail disorders have considerable psychological impact and may limit activity by impairing functionality of both fingers and toes Objective: To evaluate the impact of nails disorders on quality of life (QoL). Methods: 1063 patients with nail disorders completed an anonymous nail-specific QoL questionnaire consisting of 24 and 16 questions, respectively, for fingernails and toenails with five possible responses to each question. A score of 1-5 was given to each response and the final score was adjusted on a percentile scale. The subjects were classified in groups according to nail disorders. Statistical analysis was carried out using T-test to compare the means between two groups and ANOVA analysis of variance to compare the impact of quality of life on the different types of nail disorders. Results: Comparison between groups showed a statistically significant higher impact for trauma, onychomycosis, other infections, structure abnormalities, psoriasis, other inflammatory diseases and paronychia and a lower impact for chromonychias and tumours. QoL was statistically significantly more affected in patients having multiple nails involved, women, and in people aged 60-79 years. There was no statistically significant difference on the QoL impact between patients having only fingernails or only toenails involved. Conclusion: Even though published literature tends to focus on the impact of nail psoriasis and onychomycosis on QoL, other nail disorders cause similar frustration to patients. A possible explanation for this is that appearance of the nail has a more significant impact on QoL than the severity of the disorder.
Databáze: OpenAIRE